Summary: What is the reimbursement ratio of Xing'an League Medical Insurance? Only medical expenses above 1,800 yuan can be reimbursed. In-service employees can be reimbursed 50%. Retirees under 70 years old are reimbursed 70%; retirees over 70 years old are reimbursed.
80%; hospitalization reimbursement is 85% from the minimum payment standard to 30,000 yuan; 90% is reimbursed for expenses from 30,000 yuan to 40,000 yuan.
Reimbursement ratio of medical insurance for active employees: 1. Only medical expenses above 1,800 yuan can be reimbursed after going to the hospital’s outpatient clinic or emergency department, and the reimbursement rate is 50%; 2. For retirees under 70 years old, expenses above 1,300 yuan can be reimbursed
It can be reimbursed, and the reimbursement rate is 70%; 3. For retirees over 70 years old, the reimbursement rate is 80% for expenses above 1,300 yuan.
Note: Regardless of the type of person, the maximum amount of large-amount medical expenses paid for outpatient and emergency services is 20,000 yuan.
The standard of hospitalization reimbursement is related to the level of the hospital where the insured person lives: Note: If the insured person lives in a third-level hospital.
1. For expenses from the minimum payment standard to 30,000 yuan, employees pay 15%, which is 85% reimbursement; 2. For expenses from 30,000 yuan to 40,000 yuan, employees pay 10% and 90% is reimbursed; 3. For expenses exceeding 40,000 yuan,
95% of the expenses up to the maximum payment limit can be reimbursed, and employees only need to pay 5%; 4. The proportion of individual payment by retirees is 60% of that of active employees.
Tip: The above is an introduction to the reimbursement ratio of Xing'an League Medical Insurance. If it is hospitalization expenses, when using basic medical insurance for payment for the first time in a year, the minimum payment amount is 1,300 yuan for both employees and retirees.
As for the medical expenses for the second and subsequent hospitalizations, the minimum payment standard is determined at 50%, which is 650 yuan.
The maximum payment amount of the basic medical insurance pooling fund (hospitalization expenses) in a year is currently 70,000 yuan.